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Louisiana rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.26 / $84.19 / $194.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $78.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.07 / $39.11 / $71.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $71.81 / $73.25
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,819.27 / $3,819.27 / $3,819.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.26 / $62.26 / $66.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.00 / $66.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $66.00 / $77.06